Bakir T Abushhiwa

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

612-228 Issued in WI

Practice address

111 Warren St Ste 2
Beaver Dam, WI 53916-3084

Phone

(920) 216-4440

NPI assigned

Oct 13, 2017

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: babushhiwa1129113@direct.uwhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alarus Healthcare, LLC

  • Multi-Specialty Clinic/Center
  • Grafton, WI
  • NPI 1457788242
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1932610201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WARREN ST STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163084",
            "telephone_number": "920-219-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WARREN ST STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163084",
            "telephone_number": "920-216-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSHHIWA",
        "first_name": "BAKIR",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "612-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "babushhiwa1129113@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2275 Deming Way Ste 180",
            "city": "Middleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535625527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mesfin Taye Abera, M.D.
• Abundance Acupuncture Inc.
• Bret Achterberg
• Advance Physical Therapy & Sports Rehab, LLC
• Advance Physical Therapy and Sports Rehab, LLC
• Advanced Pain Management SC
• Affiliated Counseling Center, Inc

• Marriage & Family Therapist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.